Provider Demographics
NPI:1639219983
Name:THERAPY WORKS LLC
Entity Type:Organization
Organization Name:THERAPY WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:BOONE
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:307-887-2877
Mailing Address - Street 1:PO BOX 860
Mailing Address - Street 2:487A N MAIN ST
Mailing Address - City:THAYNE
Mailing Address - State:WY
Mailing Address - Zip Code:83127-0860
Mailing Address - Country:US
Mailing Address - Phone:307-883-8877
Mailing Address - Fax:307-883-8876
Practice Address - Street 1:487A N MAIN ST
Practice Address - Street 2:
Practice Address - City:THAYNE
Practice Address - State:WY
Practice Address - Zip Code:83127
Practice Address - Country:US
Practice Address - Phone:307-883-8877
Practice Address - Fax:307-883-8876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYOTR-538225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty